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Top 20 Diagnoses

MEMBER PAID

% PLAN PAID

OF TOTAL

PLAN PAID

PLAN PAID

DIAGNOSIS

CODE

$3,359.91

1.13 %

$64,367.88

STEMI involving left anterior descending

coronary artery

I21.02

$7,572.45

1.09 %

$61,723.82

Alcohol dependence, uncomplicated

F10.20

$4,697.40

1.08 %

$61,493.20

Encounter for screening for malignant

neoplasm of colon

Z12.11

$1,279.45

1.06 %

$60,444.94

Psoriasis vulgaris

L40.0

$2,175.19

1.01 %

$57,345.70

Athscl heart disease of native coronary

artery w/o ang pctrs

I25.10

$0.00

1.00 %

$56,862.58

Traum subdr hem w/o loss of

consciousness, init

S06.5X0A

$2,323.80

0.98 %

$55,831.82

Incisional hernia with obstruction,

without gangrene

K43.0

$11,419.51

0.98 %

$55,607.81

Leiomyoma of uterus, unspecified

D25.9

$14,434.30

0.89 %

$50,671.67

Opioid dependence, uncomplicated

F11.20

$1,575,731.77

66.46 %

$3,773,352.97

Remaining

Diagnoses

Page 30 of 41

Incurred: 2/1/2016 to 1/31/2017

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